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Corresponding Author

Ahmed Mohamed Abd El-latif Badr

Document Type

Original Article

Abstract

Background: Pain arising in the facet joints, muscles, skin, subcutaneous tissues, intervertebral disks, vertebra, and muscles can follow spinal surgery due to surgical trauma. Despite having a nociceptive origin, pain can also have a neuropathic pattern. Thus, it is crucial to have enough pain medication after spinal surgery. It can involve the use of recently popular non-steroidal anti-inflammatory medicines (NSAIDS), localized blocks, lidocaine infusion, gabapentin, pregabalin, systemic opioids, and neuraxial analgesia.

Aim and objectives: To assess and compare the analgesic results of patient-controlled analgesia and thoracolumbar plane block in terms of safety and efficacy.

Subjects and methods: Fifty-eight patients were split into two groups for this prospective, randomized, single-masked clinical investigation, which was done at AL-Azhar University Hospitals.

Result: Regarding the baseline parameters, there were negligible differences between the study groups (Age, sex, weight, height, BMI, and ASA). There was no significant difference in the procedure duration across the study groups. The two groups had no noticeable disparity in problems resulting from local anesthesia.

Conclusion: The results of the present study concluded that the analgesic outcome of the thoracolumbar plane block is more effective and safer than patient-controlled analgesia. Further studies are needed with larger scales to confirm our results. Longer periods are needed for Follow-up patients.

Keywords

Ultrasound; Thoracolumbar Plane Block; Patient Controlled Analgesia; Lumbar Spine Surgery

Subject Area

Anesthesiology

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